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扭转型室性心动过速是介于室性心动过速和心室颤动之间的心律失常,预后凶险。我省三所医院报告了8例,并就其病因、发病机理、诊断、治疗等进行讨论。 临床资料 本组男3例,女5例;年龄平均53(22~79)岁,50岁以上者5例。原患疾病有:冠心病5例,高血压4例,风心病、肺心病、肾上腺瘤、弥漫性腹膜炎并中毒性心肌炎、糖尿病各1例;伴心力衰竭者3例。7例有血钾记录,表现低钾者2例,正常偏低水平者3例。心电图除发作时记录到典型的扭转型室速的图形外,在发作前及发作间歇尚表现有:
Torsional ventricular tachycardia is between the ventricular tachycardia and ventricular fibrillation arrhythmia, the prognosis is dangerous. Three hospitals in our province reported 8 cases and discussed their etiology, pathogenesis, diagnosis, treatment and so on. Clinical data The group of 3 males and 5 females; average age of 53 (22 to 79) years old, 50 years of age in 5 cases. The original disease: coronary heart disease in 5 cases, 4 cases of hypertension, rheumatic heart disease, pulmonary heart disease, adrenal tumor, diffuse peritonitis and toxic myocarditis, diabetes in 1 case; with heart failure in 3 cases. There were 7 cases of potassium records, 2 cases of low potassium, 3 cases of normal low level. In addition to the electrocardiogram recorded during the onset of typical torsades de pointes in the graph, before the attack and seizure intermittent performance: